Contract Utilization Review Jobs in Arizona (NOW HIRING)

Learnbeyond Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Tuba City, Arizona.

Job Description & Requirements

• Specialty: Utilization Review
• Discipline: RN
• Start Date: 09/07/2026
• Duration: 13 weeks
• 36 hours per week
• Shift: 12 hours
• Employment Type: Travel

Job Description:
** Full compliance is required 2 weeks prior to the start date.** Hospital rental property limited and based on availibility. Shared contractor housing only. No pets or family allowed per hospital policy. *** Healthcare does not require your RN to have an AZ state license. *** Health Care Corporation, a JCAHO accredited health center, provides services to a 4,400 square mile area and serves as a referral center for the western part of the Navajo and Hopi Reservations. The hospital was constructed in 1975 with a bed capacity of 73. Services provided to the community include comprehensive inpatient/outpatient emergency services, dental and ophthalmology services, orthopedics, OB/GYN, oral surgery, eye surgery and urological procedures. Approximately 49% of the surgeries performed are out patient/ambulatory surgical procedures. Learn more about our organization. The *** Health Care Corporation is located in Northwestern Arizona on the land known as the Colorado Plateau. This semi-desert landscape varies in elevation from 4,400 in the Little Colorado River Valley to nearly 7,000 feet at Preston Mesa. The unique community of Tuba City offers a culturally rich environment. The Native American tribes located and served here are the Navajo, Hopi, and Southern Paiute. This mixture along with Anglo, Hispanic, and African American employees of the hospital and school systems make a pleasantly diverse community. The staff of medical providers includes surgeons, general medical officers, internal medicine, psychiatrists, pediatricians, family practice physicians, obstetricians, ENT specialists, orthopedic surgeons, and urologists. Dental staff includes general dentists, endodontists, oral and maxillofacial surgeons, pediatric dentists, dental assistants and hygienists. The nursing staff includes registered nurses, licensed practical nurses, nursing assistants, community health nurses, nurse practitioners, nurse midwives, CRNA, and community health medics.POSITION SUMMARYThe Utilization Review (UR) Nurse ensures that patients receive appropriate care by verifying medical necessity, confirming the correct patient status, and monitoring the ongoing need for services while working to reduce unnecessary length of stay and prevent delays; they support accurate clinical documentation for proper reimbursement, coordinate with providers and the care team on discharge planning and transitions, manage resource use to control costs, communicate with payers to prevent denials, and ensure compliance with CMS and Joint Commission requirements while contributing to reporting and quality improvement efforts. They also serve as a key liaison between clinical care, finance, and regulatory requirements, helping align patient care with both quality standards and reimbursement rules. Ultimately, their role has a direct impact on patient outcomes, hospital efficiency, and the organizations financial performance.NECESSARY QUALIFICATIONSEducation:· Bachelors Degree in NursingLicense/Certification:· A valid, current, full and unrestricted Professional Nursing License to practice as a Registered Nurse (RN) in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States· Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association (AHA) throughout employment Experience:· Three (3) years of clinical nursing experience performing direct patient care with at least 2 years in an Inpatient setting on a medical-surgical unit, PACU, or higher acuity Inpatient unit (ICU, Step-Down, Telemetry, etc.) or home health (direct care) {clinical experience qualification may be determined by hiring manager/director.}· Demonstrate knowledge of case management, purchased referred care and utilization review processes.· Demonstrate knowledge of electronic health record systems.
Position Urgency:
Normal
Shifts:
Monday - Friday from 8am - 5pm. Callback on weekends/holidays
State License Details:
Must Be Currently Active
Minimum Years of Experience:
3
Specialty Type:
ORIENTATION: Every 2 weeks
COVID & FLU EXEMPTIONS: May accept after declination form is submitted
HOUSING APP: Must be submitted 2 weeks prior to start - form uploaded in Medefis
Sub Specialty:
Utilization Review RN
General Certifications:, General Certifications(BLS/BCLS)
Nursing Certifications:
Contract Length in Weeks:
13

Learnbeyond Healthcare Job ID #298653. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

About Learnbeyond Healthcare

Learnbeyond Healthcare LLC is a U.S.-based healthcare workforce solutions and staffing organization dedicated to providing highly qualified healthcare professionals to hospitals, long-term care facilities, rehabilitation centers, outpatient clinics, home health agencies, and other healthcare providers across the United States. The company specializes in the recruitment and placement of Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Certified Nursing Assistants (CNAs), and allied healthcare professionals for travel, contract, per diem, and permanent positions.

Leveraging a strong recruitment framework and rigorous compliance processes, Learnbeyond Healthcare LLC focuses on delivering timely, cost-effective, and customized staffing solutions that help healthcare organizations address workforce shortages while maintaining high standards of patient care. The company is committed to building long-term partnerships with both healthcare providers and professionals by emphasizing quality, integrity, compliance, and exceptional service throughout the recruitment lifecycle.

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Benefits

• Referral bonus
• Life insurance